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UMHS Home/Logo Consult Request Guidelines

for Abnormal LFTs

   
Abnormal LFTs (hepatitic pattern, AST/ALT >5x upper limit of normal or increased bilirubin)
Suggested Pre-Referral Evaluation and Management Guidelines
1) Test for IgM anti-HAV, HBsAg, IgM anti-HBc, anti-HCV, antinuclear antibody (ANA), smooth muscle antibodies(SMA), SPEP
2) Test for serum protein electrophoresis(SPEP)
3) Test for PT/INR
4) Repeat LFT, PT in 1-2 weeks
Suggested Additional Test/Management Prior to Specialty Visit
1) Refer patient
2) Ask for early appointment if AST/ALT >10x upper limit of normal (ULN), bilirubin >2, or INR >1.2
Patient Education/Information (includes preps)
1) American Association for the Study of Liver Diseases
2) Centers for Disease Control and Prevention
3) National Institutes of Health
4) American Liver Foundation
5) Liver Function Panel
Appointment Timeframe 1-2 weeks, call M-LINE and ask to speak to one of the hepatology faculty if urgent appointment is needed
How to Get Results to Consultant UMHS Patients: Send through MiChart patient portal
External Patients: Fax to Hepatology office at 734-998-1453 or hand carry non-UM records if timing does not allow, Hand carry MRI/CT CD and biopsy slides to visit
Clinic Contact Information Physicians: 800-962-3555 or 844-233-0433
Patients: 844-233-0433
Clinic Location Sites Hepatology Clinic Locations
UM Consulting Physician Hepatology Faculty
Revised on: 12/18/2015